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Author
Topic: sex worker concerns (Read 2836 times)

I'm currently in holiday in south east Asia and after a very drunken night ha sex with a local girl. I used a codom but it broke approximately half way through. So I probably ha unprotected sex for about 10 minutes fairly vigorously. After I ejeculated I pulled out and realised the condom had broken completely. I'm fairly the positive the girl was hiv positive even though she said she wasn't, the rate of hiv amongst prostitutes is very high in the area, I did not know this before hand. Also she showed me a booklet with evidence that she has been taking regualr injection for somthing after the incident. i think it began with t, any ideas? To make matters worse i had a small sore near the base of penis, not open like a spot with no head. Approximately 30 hours after this I managed to get hold of pep in the form of efavirenz and duviral (lamvudine and zidovudine). I have heard this is slightly outdated but I don't think there is a better option here. From other post of yours iv read I know this would normally be an extreme option but do you think in my case this could be wise. I am also circumcised which I hear helps. And don't seem to suffering much side effects, however it is only my second day. Ps just vaginal sex.

Hi Dan . You had a risk but the good news is that PEP is highly effective if taken within 72 hours and you were well within that range . I would expect you to come out of this OK .

You will need to test 6 weeks after you finish you PEP medications and again at 3 months to confirm the results .

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

Does any one have any info on the pep drugs I have been prescribed, because I know it is not what they give in the uk. And aslo does anyone have info on sub type e hiv with is supposedly more contagios?

I removed your post thanking Jeff as it was your last free post. Now you still have one free post left - please use it wisely.

In the UK, two of the meds you're on (lamivudine and zidovudine) are usually given as one tablet called Combivir. It's a perfectly acceptable PEP regimen for your risk, which is on the lower end of the scale.

In the UK you probably would have been given Truvada alone (if they gave you PEP at all) not because it's any better, but because it's only taken once a day and has fewer side-effects, making adherence (taking your meds as prescribed) easier to achieve.

You need to be taking the lamivudine and zidovudine twice a day. The efavirenz should be taken once a day, before bed, at least two hours after eating. Eating too close to taking efavirenz may increase your side-effects - namely vivid dreams or nightmares.

You can take your lamivudine and zidovudine with the efavirenz at night, and take the other dose of lamivudine and zidovudine twelve hours later. An hour or two variation won't make a difference, what's important is that you take them every day.

Hiv is much more difficult to transmit from a woman to a man and I would not expect you to test positive over this one incident, PEP or no PEP. I've been answering questions in this forum since 2001 and I've yet to see the insertive partner end up hiv positive following a condom break. (PEP or no PEP.)

Don't start fretting about sub-types; it's pretty much irrelevant. Just take your meds.

Don't forget that - as Jeff told you - taking PEP extends your testing window period by four weeks (the length of time you take PEP). The earliest you should test is at six weeks post-PEP, and again at three months post-PEP for a conclusive negative result.

A six week negative is highly unlikely to change when you re-test at three months.

I really do not expect you to test positive in this situation. Remember to take your meds and enjoy the rest of your holiday. Don't let fretting about this ruin it for you.

"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

If you have vaginal sex with a sex worker in europe, specifically madrid, can you be quite sure the condoms used were of regulated quality?. i had sex twice, and both times the condom was full of sperm afterward, which i assume is a pretty good sign that there was no breakage. as soon as i pulled down my trousers she put it on, and was on untill just before i left both times and like i said, full both times.

its been 3 days and i have a sore throat, but that is way more likely to be from holiday smoking and air conditioning. am i just being paranoid??

I've merged your new thread into your original thread - where you should post all your additional thoughts or questions. It helps us to help you when you keep everything in one thread. It doesn't matter how long it has been since you last posted in your thread or if the subject matter is different.

If you need help finding your thread when you come here, click on the "Show own posts" link under your name in the left-hand column of any forum page.

Please also read through the Welcome Thread so you can familiarize yourself with our Forum Posting Guidelines. Thank you for your cooperation.

When a condom breaks, it's obvious. It's not about tiny holes that you can't see.

Also, sex workers use condoms to protect THEM, not you, so you can be sure they're not going to use inferior condoms.

Here's what you need to know in order to avoid hiv infection:

You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together.

To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI. Sex without a condom lasts only a matter of minutes, but hiv is forever.

Have a look through the condom and lube links in my signature line so you can use condoms with confidence.

Anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts